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Which is the most important reason for the nurse who cares for children with conduct disorders to discuss feelings, fears, or frustrations with colleagues?
- A. To make the nurse feel better and avoid burnout.
- B. To encourage camaraderie between colleagues.
- C. To keep negative emotions from interfering with the ability to provide care to clients with problems with aggression.
- D. To ensure that all caregivers have the same attitudes and beliefs about children with conduct disorders.
Correct Answer: C
Rationale: Discussing feelings prevents negative emotions from impacting care, more critical than personal relief, camaraderie, or uniform attitudes.
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Which are characteristics of intermittent explosive disorder (IED)?
- A. The episode may occur with seemingly no warning.
- B. They usually last less than 30 minutes.
- C. Afterward, the person with IED will not have any remorse.
- D. It involves repeated episodes of impulsive, aggressive, violent behavior, and angry verbal outbursts.
- E. The intensity of the emotional outburst is usually within proportion to the stressor or situation.
Correct Answer: A,B,D
Rationale: IED is characterized by sudden, short (<30 min), impulsive, aggressive outbursts disproportionate to the trigger, often followed by remorse, not lack of it.
The nurse is using limit setting with a child diagnosed with conduct disorder. Which statement reflects the most effective way for the nurse to set limits with the child?
- A. That is not allowed here. You will lose a privilege. You need to stop.
- B. Stop what you are doing. Go to your room.
- C. I would appreciate if you would not do that
- D. Why do you do these things?
Correct Answer: A
Rationale: Effective limit setting involves stating the rule, consequences, and expected behavior, as in choice A, unlike vague requests, punitive commands, or questioning motives.
Which are important points for the nurse to consider when working with clients with disruptive behavior disorders and their families?
- A. Most behavior disorders are caused by being raised by parents who had behavior disorders in their own childhoods.
- B. Remember to focus on the client's strengths and assets, as well as their problems.
- C. Transient conduct disorders are common in all children.
- D. Avoid a blaming attitude toward clients and/or families.
- E. Focus on positive actions to improve situations and/or behaviors.
Correct Answer: B,D,E
Rationale: Focusing on strengths, avoiding blame, and promoting positive actions are key, but behavior disorders have multiple causes, and conduct disorders are not common in all children.
A 14-year-old girl is being treated for conduct disorder. She refuses to attend class today, stating that yesterday the other nurse told her she did not have to go to class if she did not want to. Which would be the best response by the nurse?
- A. Fine, but you're confined to your room
- B. Missing class is against the rules
- C. You and I both know you're lying
- D. Why do you keep fighting the system
Correct Answer: B
Rationale: Reinforcing rules avoids power struggles and sets clear limits, unlike punitive confinement, accusing of lying, or questioning motives.
Which steps are involved in limit setting?
- A. State expected behavior.
- B. Inform clients or the rule or limit.
- C. Threaten incarceration.
- D. Explain the consequences if clients exceed the limit.
- E. Occasionally limit enforcement
Correct Answer: A,B,D
Rationale: Limit setting includes stating rules, consequences, and expected behavior, not threatening incarceration or inconsistent enforcement.